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06-4219 (SFD)?� P.O. BOX 15044.VOICE (760) 777-7012 78-495 CALLE TAMPICO - FAX (760) 777-7011 J LA QUINTA, CALIFORNIA.92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760)777-7153 _- BUILDING PERMIT = •, .- - _ Date: 12/06/06 Application Number: "06-00004219 Owner: Property Address:' 61568 TOPAZ DR. SHEA LA QUINTA APN: 764=280-999-14,3 -300237- C/O JEFF MCQUEEN Application description: DWELLING - SINGLE FAMILY DETACHED 8800 N GAINEY CENTER 350 Property Zoning: MEDIUM HIGH DENSITY RES SCOTTSDALE, 'AZ 85258 Application valuation: 163330 Contractor: Applicant: rchitect or Engineer: SHEA HOMES, INC. A 81260 AVENUE 62 _2—U40I LA QUINTA, CA 92-)53 �v `(760) 777-6005 (�E�+ Z00 Lica No.: 672285 DEC CITY OF LA QUINTA FINANCE DEPT. LICENSED CONTRACTOR'S DECLARATION - WORKER'S COMPENSATION DECLARATION -I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I.hereby affirm under penalty of perjury one of the following declarations: _ Section 7000) of Division 3 of the Business and Professionals Code; and my License is in full force and effect. _ 1 have and will maintain a certificate of consent to self -insure f or,workers'. compensation, as provided ' ice Class: B License •No . 67� 2285 - _ for by Section 3700 of the Labor Code, for the performance of the work for which,this permit is issued. 9 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor - - _ Code; for the performance of the work for which this permit is issued. My workers' compensation OWNER -BUILDER DECLARATION insurance carrier and policy number are: - 'I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier AMERICAN HOME Policy Number 1247619 • - following reason (Sec. 7031':5, Business and Professions Code: Any city or county that requires a permit to_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve,'demolish, or repair any structure, prior to its issuance, also requires the applicant for the r person in anymanner so as to beco a subject to workers'compensa[ion laws of California, - permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if ec e u 'ect to the kers' compensation provisions of Section - License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or - 3700 of the L r o ha ' orthw h comply ih those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by. any applicant for a permit subjects the applicant to a civil penalty. of not more than five rundred dollars ($500).: a • pli as owner of the property, or my employees with wages as their sole compensation, will do the work, and ' • the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED,THOU SAND - - - - - - and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. . one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.l. - - APPLICANT ACKNOWLEDGEMENT - (_ 1: 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project ISec. - IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the , 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. ,. property, who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). - - whose benefit work is performed under or pursuant to any permit issued as a result of this application, 1 _ 1 1 am exempt under.Sec. B.&P.C. for this reason the owner, and.the applicant, each agrees to, and shall defend, indemnify and hold harmless the City r' - - - of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. • Date: Owner: 2. Any permit issued as a result of this application becomes null and void if work is not commenced - - - - _ - - within 180 days from date of.issuance of such p&mit,or cessation of work for 180 days will subject. - CONSTRUCTION LENDING AGENCY permit to cancellation. r I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that.the a ove informs ion is corre I agree to comply with all work for which this permit is, issued (Sec. 3097, Civ. C.). city and county ordinances -a state laws relating to buildi con ructi ,n, nd here uthorize representatives • - - 3 . of t '� cou y to a ter upo the above -mention pe ins coon pu oses. Lender's Name: fes/ ate: re (Applicant or Age Lender's Address: LQPERAIIT Application Number 06-00004219 Permit BUILDING PERMIT Additional desc=. Permit Fee 863.50 Plan Check Fee 561.28 Issue Date . . . . Valuation 163330 Expiration Date 6/04/07 Qty, Unit Charge Per Extension BASE FEE 639.50 64.00 .3.5000"THOU BLDG 100,001-500,000 224.00 Permit MECHANICAL Additional desc . Permit Fee' 83.,50- Plan Check Fee 20.88 Issue Date . . Valuation . . . . 0 Expiration.Date 6/04/07 Qty. Unit Charge Per Extension BASE' FEE 15.00 2.00 9.0000 EA MECH FURNACE <=100K 18.00 2.0.0 9.0000 EA MECH B/C <=3HP/100K BTU 18.00 4.00. 6.5000 EA MECH VENT FAN 26.00' 1.00 6.5000 ---------------------------------------------------------------------------- EA MECH EXHAUST HOOD •6.50 Permit . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee 89.82 Plan Check°Fee '22.46, Issue Date' . . . . Valuation 0 Expiration Date 6/04/0.7. Qty Unit Charge Per" Extension BASE FEE 15.00 1805.00 .0350 ELEC NEW RES - 1.OR 2 FAMILY 63.18 582.00 .0200 ELEC ----------------------------------------- GARAGE OR NON-RESIDENTIAL 11.64 Permit . .' . . .. PLUMBING - Additional desc . Permit Fee 147.00 Plan Check Fee 36.75 - Issue.Date Valuation 0 Expiration Date 6/04/07 Qty Unit Charge Per Extension BASE FEE 15.00 13.00 6.0000 EA PLB FIXTURE 78.00 1.00. 15.0000 EA PLB BUIL.DING.SEWER' 15:00 LQPER,%IIT - - - LQPERA11T Application Number . . . 06-00004219 STRONG MOTION. (SMI) - RES Permit .. . . - . . PLUMBING Qty Unit, Charge Per f _Extension 1:00 7.5000 EA PLB WATER •HEATER/VENT 7.50 1._00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 9.•0000 EA PLB LAWN SPRINKLER SYSTEM •91.00 - 6.00 .7500 EA PLB GAS PIPE,>=5 4.50 1.00 15.0000 EA ------------------------------------------------------------------------------ PLB GAS METER 15.00 Permit� GRADING PERMIT 4567.46 Additional desc . 4567.46 Grand'Total Permit Fee 15.00 Plan Check Fee .00 Issue Date . . Valuation 0 Expiration Date 6/04/07' Qty Unit Charge Per Extension BASE FEE - 15.00 = Special Notes and Comments SFD - Lot 143,1805 SF.Plan 4510A Casita (249sf), MBR Box Bay (26sf), Ext Garage (83sf) & Ext'Patio (120sf)..Permit does, r not include block wall,. pool or driveway approach.2001 CBC,. CMC, CPC, 2004 CEC, 2005 ENERGY CODES Other Fees . . . ART IN PUBLIC PLACES -RES 20.00 DIF COMMUNITY -RES .R '74.00 -CENTERS ER = RES" -.,DIF CIVIC CENT 995.00 ENERGY REVIEW FEE 56.13 DIF FIRE PROTECTION -RES. 140.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 355.00 DIF PARK MAINT FAC - RES 22.00 DIF.PARKS/REC - RES 892.00 STRONG MOTION. (SMI) - RES 16.33 DIF,STREET MAINT FAC -RES 67.00 . DIF TRANSPORTATION - RES 1930.00 Fee summary Charged Paid Credited Due Permit Fee Total 1198.82 .00. .00 1198.82 Plan Check Total 641.37 .00 .00 641.37 Other Fee Total 4567.46 :00 .00 4567.46 Grand'Total 6407.65 .00 .00 6407.65